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The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia

PURPOSE: Whether the provision of online health care referral systems by the Indonesia National Health Insurance Agency has ensured healthcare referral compliance raises much concern due to the continuing deficit. This study examines the pattern of healthcare referral process, regional and referral...

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Autores principales: Handayani, Putu Wuri, Dartanto, Teguh, Moeis, Faizal Rahmanto, Pinem, Ave Adriana, Azzahro, Fatimah, Hidayanto, Achmad Nizar, Denny, Ayuningtyas, Dumilah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8487026/
https://www.ncbi.nlm.nih.gov/pubmed/34632140
http://dx.doi.org/10.1016/j.heliyon.2021.e08068
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author Handayani, Putu Wuri
Dartanto, Teguh
Moeis, Faizal Rahmanto
Pinem, Ave Adriana
Azzahro, Fatimah
Hidayanto, Achmad Nizar
Denny
Ayuningtyas, Dumilah
author_facet Handayani, Putu Wuri
Dartanto, Teguh
Moeis, Faizal Rahmanto
Pinem, Ave Adriana
Azzahro, Fatimah
Hidayanto, Achmad Nizar
Denny
Ayuningtyas, Dumilah
author_sort Handayani, Putu Wuri
collection PubMed
description PURPOSE: Whether the provision of online health care referral systems by the Indonesia National Health Insurance Agency has ensured healthcare referral compliance raises much concern due to the continuing deficit. This study examines the pattern of healthcare referral process, regional and referral compliance from 2015 to 2016. To provide comprehensive analysis on how people seek treatment, this study also aims to understand health-seeking behavior in Indonesia, the utilization of alternative treatment, and health information–seeking behavior on social media. METHOD: The data come from three data files, namely the National Health Insurance membership master data, the First Level Health Facilities transaction data and the Advanced Referral Health Facilities transaction data of 1,697,452 individuals. The regional compliance applies a logit regression model, while referral compliance applies descriptive statistics of the referral pathway. This study also follows a quantitative approach using an online questionnaire, with 463 respondents who have National Health Insurance which applies an ordered logit model. RESULT: We found that several demographic variables and regional health facility availability affect regional compliance. Moreover, we found 19.3% of the transactions did not comply with the prescribed referral sequence. The prescribed referral sequence was mostly followed for patients with malignant diseases. We also found men who perceive that their health condition is healthy will less likely seek health services compared to women. Further, the tendency of alternative treatment increases health-seeking behavior, and the tendency of seeking health information on social media increases the frequency seeking health services. CONCLUSION: We recommend the prescribed referral sequence to be re-evaluated especially for patients with malignant disease; the referral process should not be based on hospital classes but on the competency of the healthcare facility which may indirectly address the deficit issue. It is imperative that the government evaluate health promotion approaches to men and women, both direct and indirect through their significant others.
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spelling pubmed-84870262021-10-07 The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia Handayani, Putu Wuri Dartanto, Teguh Moeis, Faizal Rahmanto Pinem, Ave Adriana Azzahro, Fatimah Hidayanto, Achmad Nizar Denny Ayuningtyas, Dumilah Heliyon Research Article PURPOSE: Whether the provision of online health care referral systems by the Indonesia National Health Insurance Agency has ensured healthcare referral compliance raises much concern due to the continuing deficit. This study examines the pattern of healthcare referral process, regional and referral compliance from 2015 to 2016. To provide comprehensive analysis on how people seek treatment, this study also aims to understand health-seeking behavior in Indonesia, the utilization of alternative treatment, and health information–seeking behavior on social media. METHOD: The data come from three data files, namely the National Health Insurance membership master data, the First Level Health Facilities transaction data and the Advanced Referral Health Facilities transaction data of 1,697,452 individuals. The regional compliance applies a logit regression model, while referral compliance applies descriptive statistics of the referral pathway. This study also follows a quantitative approach using an online questionnaire, with 463 respondents who have National Health Insurance which applies an ordered logit model. RESULT: We found that several demographic variables and regional health facility availability affect regional compliance. Moreover, we found 19.3% of the transactions did not comply with the prescribed referral sequence. The prescribed referral sequence was mostly followed for patients with malignant diseases. We also found men who perceive that their health condition is healthy will less likely seek health services compared to women. Further, the tendency of alternative treatment increases health-seeking behavior, and the tendency of seeking health information on social media increases the frequency seeking health services. CONCLUSION: We recommend the prescribed referral sequence to be re-evaluated especially for patients with malignant disease; the referral process should not be based on hospital classes but on the competency of the healthcare facility which may indirectly address the deficit issue. It is imperative that the government evaluate health promotion approaches to men and women, both direct and indirect through their significant others. Elsevier 2021-09-25 /pmc/articles/PMC8487026/ /pubmed/34632140 http://dx.doi.org/10.1016/j.heliyon.2021.e08068 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Article
Handayani, Putu Wuri
Dartanto, Teguh
Moeis, Faizal Rahmanto
Pinem, Ave Adriana
Azzahro, Fatimah
Hidayanto, Achmad Nizar
Denny
Ayuningtyas, Dumilah
The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title_full The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title_fullStr The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title_full_unstemmed The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title_short The regional and referral compliance of online healthcare systems by Indonesia National Health Insurance agency and health-seeking behavior in Indonesia
title_sort regional and referral compliance of online healthcare systems by indonesia national health insurance agency and health-seeking behavior in indonesia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8487026/
https://www.ncbi.nlm.nih.gov/pubmed/34632140
http://dx.doi.org/10.1016/j.heliyon.2021.e08068
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